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August Bruce Wagner
Professional Counselor in Portland, Oregon
NPI 1447017082

August Bruce Wagner is a Professional Counselor based in Beaverton, OR and is specialized in Professional. August Bruce Wagner practices in Portland, OR. The NPI Number for August Bruce Wagner is 1447017082 and holds a License No. R8260 (Oregon).

The current practice location address for August Bruce Wagner is 333 Sw Taylor St Ste 200, Portland, OR and can be reached out via phone at 503-446-2500.

Location: 333 Sw Taylor St Ste 200, Portland, OR, 97006-8641
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Provider Profile Details
NPI Number
1447017082
Provider Name
August Bruce Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 Sw Taylor St Ste 200, Portland, OR, 97006-8641
Phone Number
503-446-2500
Fax Number
Provider Enumeration Date
02/29/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
333 Sw Taylor St Ste 200
City
State
Zip
97204-2446
Phone Number
503-446-2500
Fax Number
person
Provider Business Mailing Address Details
Address
333 Sw Taylor St Ste 200
City
State
Zip
97204-2446
Phone Number
503-446-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
R8260 (Oregon)
Definition
Definition to come...
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